Cancer Screening

When should I be screened?

These recommendations are based on a review of current published medical literature. You should discuss individual screening with your personal physician. A more detailed review of the screening process is available in the physician section on this website.

Colon

	Non-Lynch	Lynch
Initial Colonoscopy	Age 45 or 10 years before a first degree relative with colon cancer or colon polyps	Age 25. Sooner based on family history.
Follow-up Colonoscopy	Every 5-10 years based on history. Every 1-5 years based on biopsy results	Every 1-2 years until age 39. Every year at age 40

Uterine – Endometrial

	Non-Lynch	Lynch
Pelvic Examination (medical exam of uterus and ovaries)	Every 1-2 years	Every year
Endometrial Biopsy (small tissue sample taken from the lining of the uterus)	Based on symptoms or examination	Every Year starting age 30-35
Ultrasound (scan of the uterus and ovaries)	Based on symptoms or examination	Every year starting age 30-35
Hysterectomy (removal of uterus)	Based on symptoms	Consider to prevent in high risk groups

Ovarian

	Non-Lynch	Lynch
Pelvic Examination	Every 1-2 years	Every year age 30
Pelvic Ultrasound	Per symptoms / exam	Yearly age 30. Sooner per exam / symptoms.
Oophorectomy (removal of ovaries)	Per symptoms / abnormal examination. Optional if having a hysterectomy.	Consider for prevention in high risk groups. Recommended if having a hysterectomy.

Stomach

	Non-Lynch	Lynch
EGD (Scope of the esophagus and stomach)	Based on symptoms	Consider every 1-5 years when a colonoscopy is performed
CAT Scan	Based on Symptoms	Based on symptoms, but low threshold to order scan

Pancreatic

	Non-Lynch	Lynch
CAT Scan	Based on Symptoms	Based on Symptoms, but low threshold to order scan

Kidney

	Non-Lynch	Lynch
UA (Urinalysis or a test of the urine)	Based on symptoms or with a routine physical	Every year from age 25
CAT Scan	Based on Symptoms or labs	Based on symptoms or labs with a low threshold to order scan